Rochester area Lifespan, a non-profit helping older adults take on both the challenges and opportunities of longer life, is in the midst of a big data project that is breaking down the barriers between traditional medical care and community-based aging services. In partnership with Rochester RHIO and The New York Academy of Medicine, Lifespan is using an integrated approach and data available through the community HIE to demonstrate how it improves the overall health of the people it serves.
The project is called Community Care Connections (CCC). Supported by a $2.5 million grant from the New York State Department of Health, Lifespan launched the Community Care Connections project in January 2016.
"The goal is to prove, quite frankly, whether social services and healthcare coordination have an impact on reducing ED visits and hospitalizations,” said Ann Marie Cook, President and CEO, Lifespan.
The Community Care Connections project looks at how a person’s access to essentials like transportation, food, and shelter can positively impact a person's health outlook. Rochester RHIO securely receives the list of project participants from Lifespan, matches participants with their hospitalizations and ED visits over a period of time, de-identifies the data, and sends it directly to The New York Academy of Medicine for further analysis and research. To date, there are over 700 participants in the CCC program.
“This special data matching project that [Rochester] RHIO is assisting us with has been critical to demonstrating the effectiveness of our interventions,” said Annie Wells, Director of Care Transitions, Lifespan. “Preliminary results are already showing a significant decrease in ED visits and hospitalizations.”
According to Lifespan, after one hospitalization, stats showed a 77% reduction in additional hospitalizations for program participants who are enrolled for at least 90 days.* In addition, after one emergency room visit, stats showed a 51% reduction in additional ED visits.* So far, the program is demonstrating a significant costs savings.
“For every dollar we spend, it generates savings of nearly $3.95 to the healthcare system, which translates to savings of $3.2 million,” said Cook.
*Notes: (i) Estimates are based on The New York Academy of Medicine’s analysis of data provided from the Rochester RHIO (Regional Health Information Organization) and Lifespan. (ii) Data for 272 clients enrolled in CCC program between January and August 2016.
Disclosure: Ann Marie Cook is also a Rochester RHIO board member.